Individual provider Active NPI

Adam Scott Kelman, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Ridgewood, NJ
National Provider Identifier
1912065442
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MA67349 Issued in NJ
Practice address
947 Linwood Ave
Suite 1W
Ridgewood, NJ 07450-2939
Phone
(201) 444-5552
Fax
(201) 444-4490
NPI assigned
Dec 5, 2006
Last updated
Jun 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MA67349 NJ Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 199160 NY

Addresses

Primary practice location

947 Linwood Ave
Suite 1W
Ridgewood, NJ 07450-2939

Mailing address

947 Linwood Ave
Suite 1W
Ridgewood, NJ 07450-2939
Phone (201) 444-5552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090312000519 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 6709989288 Reassigns benefits to 1 organization
I20210427001231 NY Practitioner - Endocrinology 6709989288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Rush Medical College of Rush University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA67349NJMDEndocrinology, Diabetes & Metabolism Physician
199160NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Rhoda H Cobin MD PA Past Accepting new patients

Locations

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

15 Essex Rd
Ste 506
Paramus, NJ 07652
Phone 2014478000 ext. 0189

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: adam.kelman.2@5622.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1912065442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 LINWOOD AVE",
            "address_2": "SUITE 1W",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502939",
            "telephone_number": "201-444-5552",
            "fax_number": "201-444-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 LINWOOD AVE",
            "address_2": "SUITE 1W",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502939",
            "telephone_number": "201-444-5552",
            "fax_number": "201-444-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELMAN",
        "first_name": "ADAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "MA67349",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "199160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.